Nursing home
James River Nursing and Rehabilitation
3550 East Battlefield, Springfield, MO 65809 · Map
For profit - Individual · Part of Anthony & Bryan Adams (38 facilities) · 120 certified beds
James River Nursing and Rehabilitation is a Medicare-certified nursing home in Springfield, Missouri. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.41 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Jul 30, 2024 cited 17 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How James River Nursing and Rehabilitation compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.41 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.35 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.26 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 58.3% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at James River Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Nov 4, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Jul 30, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Jul 30, 2024 · Full report (PDF) - Potential for harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Jul 30, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3550 East Battlefield
Springfield, MO 65809 - CMS certification #
- 265664
- Ownership
- For profit - Individual
- Certified beds
- 120
- Avg residents/day
- 90.7
- Provider type
- Medicare and Medicaid
- First certified
- 1997-01-17
- Chain
- Anthony & Bryan Adams (38 facilities)
- Setting
- Urban
Part of Anthony & Bryan Adams
Anthony & Bryan Adams operates 38 nursing facilities across the United States. View all Anthony & Bryan Adams facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around James River Nursing and Rehabilitation using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What James River Nursing and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our seasoned care team, many with years of tenure at our facility, provides 24/7 nursing care alongside APRN or physician coverage five days a week.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital Springfield, Springfield. 3.0 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Glendale Gardens Nursing & Rehab, Springfield. 1.2 miles away, straight line.
- Nearest home health agency office
- Integrity Home Care + Hospice, Springfield. 2.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 65809 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Springfield Midwest, Springfield, 2.5 miles away, straight line (CMS rating 2 of 5 stars)
Ozarks Dialysis Services - South, Springfield, 3.1 miles away, straight line (CMS rating 1 of 5 stars)
Ozarks Dialysis Services - Primrose, Springfield, 3.3 miles away, straight line - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 65809.
Access Hospice Care, office in Springfield, 1.8 miles away, straight line
Integrity Home Care + Hospice, office in Springfield, 2.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Phoenix Home Care And Hospice, office in Springfield, 2.4 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Lester E Cox Medical Centers, Springfield. 3.4 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is James River Nursing and Rehabilitation a good nursing home?
CMS gives James River Nursing and Rehabilitation an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is James River Nursing and Rehabilitation staffed?
James River Nursing and Rehabilitation reports 3.41 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has James River Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does James River Nursing and Rehabilitation have?
James River Nursing and Rehabilitation is certified for 120 beds.